Volume 10, Issue 3 (July-Sep 2021)
JCHR 2021, 10(3): 235-242 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Ahmer Z, Siddiqui A. Most Frequently Affected Body parts in Road Traffic Accidents Reporting to the Accident and Emergency Department of the Largest Tertiary Care hospital of Karachi in 2019. JCHR 2021; 10 (3) :235-242
URL: http://jhr.ssu.ac.ir/article-1-669-en.html
URL: http://jhr.ssu.ac.ir/article-1-669-en.html
1- APPNA Institute of Public Health, Jinnah Sindh Medical University, Karachi, Pakistan , zaeema.ahmer@jsmu.edu.pk
2- Jinnah Sindh Medical University, Karachi, Pakistan
2- Jinnah Sindh Medical University, Karachi, Pakistan
Abstract: (1253 Views)
Introduction Injuries sustained during Road Traffic Accidents (RTAs) amounts to a serious public health crisis. The aim of the study was to determine the body parts most likely affected in an RTA in patients brought to Accident and Emergency (A&E) department of Jinnah Postgraduate Medical Centre (JPMC), the largest tertiary care hospital of Karachi.
Method A descriptive cross-sectional study was done in January-March 2019 among 371 respondents aged 15-65 years. Study participants were recruited through non-probability convenience sampling. A structured questionnaire was used to collect data on sociodemographic variables and type, severity and nature of injury. Chi Square test was used to determine the significant difference between using safety precautions with body parts affected. All analysis was performed on SPSS version 20.
Results Out of 371 study participants, 64.4% (n=239) were between 15-35 years with 91.9% (n=338) males. In 77.1% (n=286) cases, emergency medical services responded in less than one hour and first aid was provided by doctor to 95.7% (n=355) at hospital. In 82.5% (n=306) cases, private vehicles were involved, with 46.1% (n=171) motorcycles. In 79.8% (n=296) cases, bone injury was prevalent, with 57.1% (n=212) leg injuries, which was the most frequently affected body part. Majority, 56.2% of the study participants who did not wear seat belts had chest area affected (p=0.006).
Conclusion It is concluded that males of 15-35 years who were motorcyclists were more prone to RTAs with lower limbs more frequently being affected. Safety precautions like wearing seatbelts provide protection against RTAs.
Method A descriptive cross-sectional study was done in January-March 2019 among 371 respondents aged 15-65 years. Study participants were recruited through non-probability convenience sampling. A structured questionnaire was used to collect data on sociodemographic variables and type, severity and nature of injury. Chi Square test was used to determine the significant difference between using safety precautions with body parts affected. All analysis was performed on SPSS version 20.
Results Out of 371 study participants, 64.4% (n=239) were between 15-35 years with 91.9% (n=338) males. In 77.1% (n=286) cases, emergency medical services responded in less than one hour and first aid was provided by doctor to 95.7% (n=355) at hospital. In 82.5% (n=306) cases, private vehicles were involved, with 46.1% (n=171) motorcycles. In 79.8% (n=296) cases, bone injury was prevalent, with 57.1% (n=212) leg injuries, which was the most frequently affected body part. Majority, 56.2% of the study participants who did not wear seat belts had chest area affected (p=0.006).
Conclusion It is concluded that males of 15-35 years who were motorcyclists were more prone to RTAs with lower limbs more frequently being affected. Safety precautions like wearing seatbelts provide protection against RTAs.
Review: Research |
Subject:
Public Health
Received: 2020/08/10 | Accepted: 2021/07/19 | Published: 2021/09/29
Received: 2020/08/10 | Accepted: 2021/07/19 | Published: 2021/09/29
References
1. Forjuoh SN. Traffic-related injury prevention interventions for low-income countries. Injury Control and Safety Promotion. 2003;10(1-2):109-18. [DOI:10.1076/icsp.10.1.109.14115]
2. Jooma R, Shaikh MA. Epidemiology of Karachi road traffic crash mortality in 2013. Journal of Pakistan Medical Association. 2015;65(5):548-51.
3. Peden M, Scurfield R, Sleet D, et al. World report on road traffic injury prevention. World Health Organization Geneva; 2004.
4. Raza M, Ahmed F, Ahmed A, Ghani A, Malik L, Siddiqui U. Title of the study: A retrospective analysis of the pattern and severity of injuries in victims of road traffic accidents in Karachi, Pakistan during 2010-2011. Emergency Medicine. 2013;3(144):2. [DOI:10.4172/2165-7548.1000144]
5. Afukaar FK. Speed control in developing countries: issues, challenges and opportunities in reducing road traffic injuries. Injury Control and Safety Promotion. 2003;10(1-2):77-81. [DOI:10.1076/icsp.10.1.77.14113]
6. Lateef MU. Estimation of fatalities due to road traffic crashes in Karachi, Pakistan, using capture-recapture method. Asia-Pacific journal of public health. 2010;22(3):332-41. [DOI:10.1177/1010539509356808]
7. Memon IA, Napiah M, Talpur MAH, et al. choice modelling method to shift car travelers towards Park and Ride service. Sustainability. 2006;13 (10) : 5638. [DOI:10.3390/su13105638]
8. Qureshi IA, Lu H. Urban transport and sustainable transport strategies: A case study of Karachi, Pakistan. Tsinghua science and technology. 2007;12(3):309-17. [DOI:10.1016/S1007-0214(07)70046-9]
9. Khan AA, Fatmi Z. Strategies for prevention of road traffic injuries (RTIs) in Pakistan: situational analysis. Journal of College of Physicians and Surgeons of Pakistan. 2014;24(5):356-60.
10. Longhitano D, Henary B, Bhalla K,et al. Influence of vehicle body type on pedestrian injury distribution. SAE transactions. 2005:2283-8. [DOI:10.4271/2005-01-1876]
11. Khan UR, Bhatti JA, Shamim MS, et al. Clothing-related motorcycle injuries in Pakistan: findings from a surveillance study. International Journal of Injury Control and Safety Promotion 2015;22(4):308-13. [DOI:10.1080/17457300.2014.908221]
12. Aslam M, Taj TM, Ali SA, et al. Non-Fatal limb injuries in motorbike accidents. Journal of the College of Physicians and Surgeons Pakistan. 2008;18(10):635.
13. Khan I, Khan A, Aziz F, et al. Factors associated with helmet use among motorcycle users in Karachi, Pakistan. Academic Emergency Medicine. 2008;15(4):384-7. [DOI:10.1111/j.1553-2712.2008.00049.x]
14. Punjabi SK, Habib ur R, Ali Z, et al. Causes and management of zygomatic bone fractures at Abbasi Shaheed Hospital Karachi (analysis of 82 patients). Journal of Pakistan Medical Association. 2011;61(1):36-9.
15. Ghaffar A, Hyder AA, Masud TI. The burden of road traffic injuries in developing countries: the 1st national injury survey of Pakistan. Public health. 2004;118(3):211-7. [DOI:10.1016/j.puhe.2003.05.003]
16. Redshaw S. Driving cultures: Cars, young people and cultural research. Cultural Studies Review. 2006;12(2):74-89-74-89. [DOI:10.5130/csr.v12i2.2336]
17. Vincent HK, Horodyski M, Vincent KR, et al. Psychological distress after orthopedic trauma: prevalence in patients and implications for rehabilitation. PM&R. 2015;7(9):978-89. [DOI:10.1016/j.pmrj.2015.03.007]
18. Alemany R, Ayuso M, Guillén M. Impact of road traffic injuries on disability rates and long-term care costs in Spain. Accident Analysis and Prevention. 2013;60:95-102. [DOI:10.1016/j.aap.2013.08.016]
19. Kenardy J, Heron-Delaney M, Warren J, et al. The effect of mental health on long-term health-related quality of life following a road traffic crash: results from the UQ SuPPORT study. Injury. 2015;46(5):883-90. [DOI:10.1016/j.injury.2014.11.006]
20. Dhondt S, Macharis C, Terryn N, et al. Health burden of road traffic accidents, an analysis of clinical data on disability and mortality exposure rates in Flanders and Brussels. Accident Analysis and Prevention. 2013;50:659-66. [DOI:10.1016/j.aap.2012.06.019]
21. Mayou R, Bryant B. Consequences of road traffic accidents for different types of road user. Injury. 2003;34(3):197-202. [DOI:10.1016/S0020-1383(02)00285-1]
22. Anyaehie U, Ejimofor O, Akpuaka F, et al. Pattern of femoral fractures and associated injuries in a Nigerian tertiary trauma centre. Nigerian Journal of Clinical Practice. 2015;18(4):462-6. [DOI:10.4103/1119-3077.151761]
23. Sukumar S. Pattern of Head Injuries in Motorised Two-Wheeler Riders Involved in Fatal Road Traffic Accidents: A Retrospective Autopsy based Study. Indian Journal of Forensic Medicine and Toxicology. 2013;35(4):0971-3.
24. Roy N, Murlidhar V, Chowdhury R, et al. Where there are no emergency medical services-prehospital care for the injured in Mumbai, India. Prehospital and Disaster Medicine. 2010;25(2):145. [DOI:10.1017/S1049023X00007883]
25. Cummins JS, Koval KJ, Cantu RV, et al. Do seat belts and air bags reduce mortality and injury severity after car accidents. American Journal of Orthopedics (Belle Mead NJ).2011;40(3):E269.
26. Abu-Zidan FM, Abbas AK, Hefny AF, et al. Effects of seat belt usage on injury pattern and outcome of vehicle occupants after road traffic collisions: prospective study. World Journal of Surgery. 2012;36(2):255-9.. [DOI:10.1007/s00268-011-1386-y]
27. Mohammadzadeh M, Paravar M, Mirzadeh AS, et al. Seat belt usage in injured car occupants: injury patterns, severity and outcome after two main car accident mechanisms in Kashan, Iran, 2012. Archives of Trauma Research. 2015;4(1). 03 [DOI:10.5812/atr.22203]
28. Cummins JS, Koval KJ, Cantu RV, et al. Risk of injury associated with the use of seat belts and air bags in motor vehicle crashes. Bulletin of the NYU Hospital for Joint Diseases. 2008;66(4):290.
29. Vaghela AC, Patel DS, Vora DH,et al. Profile of Fatal Road Traffic Accidents (RTAS) Brought To Civil Hosptal Mortuary Ahmedabad. Journal of Forensic Medicine and Toxicology. 2016;33(1):8-11.
30. Biswas G, Verma S, Sharma JJ, et al. Pattern of road traffic accidents in North-East Delhi. Journal of Forensic Medicine and Toxicology. 2003;20(1):27-32.
31. Ahmad M, Rahman FN, Rahman MZ, et al. Road traffic injury among pedestrians: an emerging research focus in Bangladesh. KYAMC Journal. 2018;9(1):11-5. [DOI:10.3329/kyamcj.v9i1.36598]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution 4.0 International License. |
